Mansho T. Khilnani

Angiographic features of hamartoma of the kidney. A case report.

Hamartoma of the kidney is a rare benign tumor in the absence of tuberous sclerosis. It may be bilateral (1, 5). Often it is a combination of more than one connective tissue element, with either the fatty, fibrous, muscular, or vascular element predominating. Conventional methods of investigation are effective when the fatty tissue is dominant in the neoplasm (1). To date, 7 cases have been reported after aortography (2–4, 6, 7). In the case which follows, renal angiography illustrated some distinctive arteriographic changes that were also noted by Viamonte (8). A 29-year-old female was admitted with a 3-week history of left flank pain and a palpable left kidney mass. The findings of the laboratory examinations were normal. An intravenous pyelogram showed a mass in the superior pole of the left kidney, displacing the collecting system (Fig. 1). A nephrotomogram demonstrated the lesion to be ill-defined superiorly; inferiorly, however, it was sharply delineated from adjacent normal kidney structure. The ma...

Late involvement of the alimentary tract by carcinoma of the kidney

SummarySix cases of involvement of the digestive tract by hypernephroma are presented. In these cases bleeding was a prominent clinical finding. Involvement of the alimentary tract occurred from 6 months to 14 years after removal of the original tumor. In 5 patients, involvement was the result of direct invasion by local recurrence. In these cases, the characteristic roentgen findings were: (1) a large intraluminal lobulated or polypoid mass that occupied and distended the lumen; and (2) continuity of the intraluminal defect, with an extrinsic mass in the kidney bed.

Roentgen Features of Carcinoma of the Gallbladder on Barium-Meal Examination

Carcinoma of the gallbladder comprises about 4.5 per cent of all carcinomas discovered on necropsy and is therefore one of the more frequent types of malignant neoplasm (1). Nevertheless, a correct preoperative diagnosis is rarely made. Except in those cases in which a small carcinoma is incidentally found during the course of cholecystectomy for calculous disease, cancer of the gallbladder is rarely detected clinically before the appearance of jaundice. Even in such patients, the clinical diagnosis is not likely to be made unless a solid mass in the right upper quadrant can be identified and related to the gallbladder. This can rarely be done with certainty, since masses in this region are more likely to be within the liver and due to metastases. Pain or discomfort is a frequent feature but is usually attributed to chronic cholecystitis and cholelithiasis. Since stones are present in 50 to 90 per cent of patients with carcinoma of the gallbladder, there is often a history of biliary tract disease which g...

Calcifying mucous-cell carcinoma of the stomach. Report of a case.

SummaryA case of diffuse calcifying mucous-cell carcinoma of the stomach is reported. It is of interest that the findings permitting correct diagnosis were clearly indicated on a simple film of the abdomen.A case of diffuse calcifying mucous-cell carcinoma of the stomach is reported. It is of interest that the findings permitting correct diagnosis were clearly indicated on a simple film of the abdomen.

Epidermolysis Bullosa with Characteristic Hand Deformities

Epidermolysis bullosa is a rare chronic skin disease which may occasionally be associated with typical roentgen features. The basic abnormality is poor adherence of the epidermis to the dermis (11). As a result, bullae occur after minor trauma. Following rupture of the bullae, secondary inflammatory and fibrotic changes may take place. The disease is divided into “simple” and “dystrophic” types, with the dystrophic form showing either a dominant or a recessive pattern of hereditary transmission (2, 6, 7, 12). The recessive dystrophic type is most severe. It often appears in the first few weeks of life, involves mucous membranes as well as skin, and is associated with a high mortality due to secondary infection and poor nutrition. These patients may be stunted in growth and chronic invalids, owing to the severe effects on the extremities. Hand deformities can result, which give a striking appearance on x-ray examination. One may note a “claw-hand” or “closed-fist” configuration due to flexion contractures ...

Roentgen Features of Healing and Healed Benign Gastric Ulcers

Abstract Despite statements that healing of a chronic gastric ulcer is associated radiologically with restoration of a completely normal gastric contour, careful review of such cases indicates that demonstrable residual deformity of the gastric wall is not infrequent. The extent and the configuration of this deformity change in recognizable fashion over an interval of follow-up study. The roentgen differentiation of these ulcer scars from active craters and superficial carcinoma is discussed.